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SAN 10 A Q U I N Environmental Health Department <br /> COUNTY <br /> Greatness grows <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: I' 6 /zy <br /> ADDRESS:�G ;11jo � • -,� CITY: MariZIP CODE:^� <br /> OWNER/OPERATOR: V`C TELEPHONE#: `� <br /> TV a h F(-CL It1 c 0 <br /> TYPE OF INSPECTION: ,COMPLAINT ❑ CONSULTATION ❑ OTHERPROGRAM RECORD <br /> ELEMENT: 1 2DO ID#: a0:95'006?,] <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> c� i✓1aryj 5 vl fo L <br /> OBSERVATIONS/COMMENTS: <br /> 1 <br /> V'e6RI . owA ormPa' vri�r <br /> ►'V1 VIOU11AZP.r <br /> CORRECTIVE ACTIONS: <br /> v i d x b D c.J 1� ri v,en 6Lter a r <br /> vn <br /> CORRECT BY: <br /> INSPECTED BY: <br /> RECEIVED BY: DATE: (I / <br /> E7 <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />